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General NPI Number Information
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NPI Number | 1194918565
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Entity Type | Individual
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Provider Name | CHRISTOPHER C MAHER M.ED., BC-HIS
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Gender | Male
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 2648 VIRGINIA BEACH BLVD STE. A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7648
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Country | US
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Telephone | 757-431-1999
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Fax | 757-431-1887
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Provider Business Mailing Address
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Address Line | 2648 VIRGINIA BEACH BLVD STE. A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7648
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Country | US
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Telephone | 757-431-1999
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Fax | 757-431-1887
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2101-001497
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License Number State | VA
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